Individual provider Active NPI

Jeffrey Scott Walker, M.D.

  • Neurological Surgery Physician
  • Treasure Island, FL
National Provider Identifier
1972505451
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME46811 Issued in FL
Practice address
10324 Gulf Blvd
#201
Treasure Island, FL 33706-4886
Phone
(727) 289-5821
Fax
(727) 290-6106
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME46811FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Neurosurgical Associates LLC Neurological Surgery Current Accepting new patients
Jeffrey S. Walker, MD, PA Neurological Surgery Past Accepting new patients
Nova Advanced Pain Management PLLC Neurological Surgery Past Accepting new patients
Yakima Neurosurgery Associates, PC Neurological Surgery PastSince Apr 30, 2003 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME46811 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

10324 Gulf Blvd
#201
Treasure Island, FL 33706-4886

Mailing address

10324 Gulf Blvd
#201
Treasure Island, FL 33706-4886
Phone (727) 289-5821

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
035248900MedicaidFL
62588OtherFLBCBS OF FL
P00209046OtherFLRAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2012.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1972505451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10324 GULF BLVD",
            "address_2": "#201",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337064886",
            "telephone_number": "727-289-5821",
            "fax_number": "727-290-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10324 GULF BLVD",
            "address_2": "#201",
            "city": "TREASURE ISLAND",
            "state": "FL",
            "postal_code": "337064886",
            "telephone_number": "727-289-5821",
            "fax_number": "727-290-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME46811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035248900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "62588",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00209046",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Treasure Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.